Science topic

Pulmonary Medicine - Science topic

A subspecialty of internal medicine concerned with the study of the RESPIRATORY SYSTEM. It is especially concerned with diagnosis and treatment of diseases and defects of the lungs and bronchial tree.
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Publications related to Pulmonary Medicine (7,598)
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Article
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Background: The risk of exposure to COVID-19 pandemic was substantially higher in frontline young health care workers. Due to repeated exposure while treating patients, the viral load is exponentially higher than the other population. Lungs being the earliest organ to be affected carry more risk of long-term morbidity. Thus, pulmonary function test...
Article
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Palliative medicine has traditionally focused on people affected by cancer with rapidly advancing disease progression. However, as more people live longer time with serious illnesses, including lung diseases, the need of palliative care for these patients if also increasing. There is a lack of research and clinical knowledge about what palliative c...
Article
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Chronic obstructive pulmonary disease (COPD) is a debilitating medical condition often accompanied by multiple chronic conditions. COPD is more frequent among older adults and affects both genders. The aim of the current cross-sectional survey was to characterize chronic comorbidities stratified by gender and age among patients with COPD under the...
Article
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Background There is a lack of early and precise biomarkers for personalized respiratory medicine. Breath contains an aerosol of droplet particles, which are formed from the epithelial lining fluid when the small airways close and re-open during inhalation succeeding a full expiration. These particles can be collected by impaction using the PExA ® m...
Article
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Background: Intrapleural fibrinolytic therapy (IPFT) is one of the treatment options for complex pleural effusion. In this study, the IPFT agent used was alteplase, a tissue plasminogen activator (t-PA). This study aims to determine the difference in the outcome of patients with complex pleural effusion between IPFT and surgery in terms of radiolo...
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b> Background: Financial relationships between healthcare professionals and pharmaceutical companies have historically caused conflicts of interest and unduly influenced patient care. However, little was known about such relationship and its effect in clinical practice among specialists in respiratory medicine. Methods: Based on the retrospective a...
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Background Workload of healthcare providers may affect the quality of healthcare. Practical evidences have indicated that healthcare providers are differentially associated with workload due to their different education and training background. Clinical pharmacists are an indispensable part of medical teams. Under the precondition that clinical pha...
Article
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Introduction Respiratory rate (RR) is a key marker of stress with evidence that raised RR is the vital sign most predictive of cardiac events. Respiratory monitoring is critical to detecting Sleep Disordered Breathing (SDB). COVID-19 highlighted the importance of infection control, and methods of detecting RR without direct airstream contact have w...
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Background: Interventional pulmonologists (IPs) are often the first specialist to see patients with suspected metastatic non-small cell lung cancer (mNSCLC). Consequently, they are potentially ideally positioned to expedite the identification of actionable molecular mutations by ordering blood-based cell-free DNA (cfDNA), prior to or upon tissue d...
Preprint
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Background Limited data are available on the relationship between seasonal factors and obstructive sleep apnea-hypopnea syndrome (OSAHS) in China. The aim of this study was to investigate the effects of seasonal factors on the severity of OSAHS in children. Methods Children presenting with snoring and/or mouth breathing, suspected of having OSAHS,...
Article
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Objective: To evaluate the level of cardiometabolic index (CMI) to predict the risk of acute exacerbation in patients with stable chronic obstructive pulmonary disease (COPD), and to provide a basis for early identification and intervention of high-risk patients in clinical nursing work. Methods: Patients with stable chronic obstructive pulmonar...
Article
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High amylase pleural effusion remains an entity which includes a wide variety of differentials, with pancreatitis, oesophageal rupture or malignant pleural effusion being most commonly encountered in clinical practice. Keeping the clinical picture (suggestive of pain in abdomen preceding any respiratory complaints) and differentials at hand, the ca...
Article
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Background: Malignant pleural effusion missed routinely because of less diagnostic yield of conventional fluid cytology. Materials and Methods: Prospective multicentric study conducted during January 2014 to June 2016 in Venkatesh chest hospital, and Pulmonary Medicine, MIMSR medical college Latur, to find diagnostic yield of conventional pleural f...
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Objectives. As asthma is a chronic inflammatory disease of the airways, anti‑inflammatory treatment should be positioned at the forefront of guideline-directed asthma care. However, patients tend to rely on short-acting β2- agonists (SABAs) for rapid-onset symptom relief. The impact of SABA overuse and associated clinical outcomes have been investi...
Article
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Background: The coexistence of obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) is termed "Overlap syndrome (OS)." Objectives: The present study aimed at estimating the prevalence of OS among patients diagnosed with OSA. Methods: It was a prospective observational study conducted on patients presenting to respirat...
Article
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Nicholas B Tiller,1 April Kinninger,2 Asghar Abbasi,1 Richard Casaburi,1 Harry B Rossiter,1 Matthew J Budoff,2 Alessandra Adami3 1Institute of Respiratory Medicine and Exercise Physiology, Division of Respiratory and Critical Care Physiology and Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA,...
Article
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Organising pneumonia (OP) is a form of interstitial pneumonia characterised by inflammation and scarring leading to obstruction within the small airways and alveoli. Practice guidelines recommend treatment of moderate to severe OP with glucocorticoids; however, there have been cases of steroid-resistant OP successfully treated with rituximab. We de...
Article
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Background: This study was conducted to evaluate the clinical, pathological and radiological profile of suspected lung malignancy and its correlation with bronchoscopic findings.Methods: A hospital based prospective study was conducted in the department of pulmonary medicine on 74 patients who were suspected with lung malignancy, clinically or radi...
Article
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Objective: In adult patients with acute respiratory failure, nasal high-flow (NHF) therapy at the time of intubation can decrease the duration of hypoxia. The objective of this pilot study was to calculate duration of peripheral oxygen saturation below 75% during single and multiple intubation attempts in order to inform development of a larger de...
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Background: Targeted Lung Denervation (TLD) is a potential new therapy for COPD. Radiofrequency energy is bronchoscopically delivered to the airways to disrupt pulmonary parasympathetic nerves, to reduce bronchoconstriction, mucus hypersecretion, and bronchial hyperreactivity. Objectives: This work assesses the effect of TLD on COPD exacerbation...
Article
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Background Major advances in management of common pleural diseases have taken place in the past decade. However, pleural diseases are often managed by physicians of diverse training background and research on implementation of new knowledge is scanty. We aim to evaluate the practice pattern in pleural medicine among physicians in Hong Kong, for ide...
Article
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En tres meses Archivos de Prevención de Riesgos Laborales cumple un cuarto de siglo. En 1998, la entonces Societat Catalana de Seguretat i Medicina del Treball, hoy Associació Catalana de Salut Laboral, presidida por Jaume de Montserrat, anunciaba una nueva revista, que nacía con 35 años de historia y 120 números publicados en la extinguida Medicin...
Article
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Background Dyspnea is a frightening and debilitating experience. It attracts less attention than pain (‘dyspnea invisibility’), possibly because of its non-universal nature. We tested the impact of self-induced experimental dyspnea on medical residents. Materials and Methods During a teaching session following the principles of experiential learni...
Article
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Objective: To investigate healthcare professional staff and students' perception of wearing surgical masks before and after their experience with the COVID-19 pandemic, and to evaluate the impact on mask wearing behaviour in future influenza seasons. Design: Cross-sectional study using anonymous survey. Setting and participants: Healthcare stu...
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The Python package mechkit is a toolkit for researchers in the field of continuum mechanics and material modeling. mechkit contains methods and operators for elementary tasks concerning tensor algebra and tensor notation, e.g., linear mapping, base transformations and active as well as passive transformations of tensors. In the context of engineeri...
Article
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The incidence of pleural disease is increasing, and interventions are crucial in this subspecialist area of respiratory medicine. One of the cornerstones of pleural effusion investigation and management is medical, which is also known as local anaesthetic thoracoscopy. This allows fluid drainage, biopsy for diagnosis and preventative measures for f...
Article
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Objectives To develop a computer-based decision support tool (DST) for key decision makers to safely explore the impact on chronic obstructive pulmonary disease (COPD) care of service changes driven by restrictions to prevent the spread of COVID-19. Design The DST is powered by discrete event simulation which captures the entire patient pathway. T...
Article
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Background/Purpose: In 1891, Gerard Philips and his father Frederik created the Dutch multinational corporation Philips in Eindhoven. Its headquarters are in Amsterdam. Having divesting off its consumer electronics division, Philips is now focused completely on the health technology industry. The company has extensive experience in a wide range of...
Article
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Despite near-universal health care and timely updates to treatment guidelines in Saudi Arabia, asthma control remains suboptimal, warranting deeper exploration of its management practices. This study describes asthma characteristics and prescription patterns of short-acting β 2-agonists (SABAs) in the Saudi Arabia cohort of the SABA use IN Asthma (...
Article
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Background: Fiber-optic bronchoscopy is a safe and effective diagnostic and therapeutic technique for pulmonary disease diagnosis and treatment. The purpose of this descriptive study was to determine the demographic profiles, indications, bronchoscopic findings, and diagnosis of individuals who had a bronchoscopic examination. Materials and Methods...
Article
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Pulmonary rehabilitation (PR) improves functional capacity, health-related quality of life (HRQoL) in COPD patients, and maintenance programmes are relevant in preserving those improvements. However, little is known about the structure of maintenance programmes after PR. We performed a systematic review and meta-analysis of experimental and quasi-e...
Article
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Background: Optimum sleep architecture is important from the point of view of optimum physiological functions. Sleep is qualitatively as well as quantitatively affected in patients of obstructive sleep apnea (OSA). Male gender and obesity are associated with increased risk of OSA. It is being increasingly recognized due to increased awareness not o...
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See related editorial Special Series: Leading Women in Respiratory Medicine Series Editors: Natasha Smallwood and Fanny Wai San Ko See related editorial
Article
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Nodal Marginal Zone Lymphoma(NMZL) is an indolent lymphoma with a very low clinical incidence and is sometimes difficult to differentiate diagnostically from Lymphoplasmacytic lymphoma/Waldenstrom macroglobulinemia (LPL/WM). NMZL with elevated monoclonal immunoglobulin M (IgM) is even rarer. Nontraumatic chylothorax can be seen in aggressive lympho...
Article
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After measles vaccine supplementary immunization, the epidemiological characteristics of measles have changed in Chongqing, China. In addition, according to data from the National Measles Surveillance Information System, the proportion of measles cases with a history of hospital visit 7 to 21 days prior to onset of measles increased year by year to...
Article
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Mechanical ventilation has been a vital treatment for Covid-19 patients with respiratory failure. Lungs assisted with mechanical ventilators present a wide variability in their response that strongly depends on air-tissue interactions, which motivates the creation of simulation tools to enhance the design of ventilatory protocols. In this work, we...
Article
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Shinji Teramoto Department of Respiratory Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanCorrespondence: Shinji Teramoto, Department of Respiratory Medicine, Tokyo Medical University Hachioji Medical Center, 1163 Tate-machi, Hachioji-shi, Tokyo, 193-0998, Japan, Tel +81-42-665-5611, Fax +81-42-665-1796, Email shinjit-tky@um...
Article
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Background: In the 2021 ERS/ATS interpretive strategies for routine lung function tests, a positive bronchodilator response (BDR) was updated as a change of >10% relative to the predicted value in forced expiratory volume in 1 second (FEV1) or forced vital capacity (FVC). We aimed to explore the differences between the 2005 and 2021 ERS/ATS criter...
Article
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International tourist arrivals continue to increase over time due to global economic growth, increasing middle class in developing countries, technological advances, innovative business concepts, cost-effective travel, and facilitation of visas. The increase in tourist visits has resulted in health problems due to the trips. Respiratory tract infec...
Article
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Introduction: The use of mechanical ventilators in the intensive care unit (ICU) is often associated with higher risk of respiratory tract infections, including ventilator-associated pneumonia (VAP). Concomitant bacterial-viral infection was reported to worsen patient's clinical condition. This study evaluated the rate of concomitant bacterial-vir...
Article
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Background The storage time of packed red blood cells (pRBC) is an indicator of change in the product's pH, potassium, and lactate levels. Blood–gas analysis is a readily available bedside tool on every intensive care ward to measure these factors prior to application, thus facilitating a calculated decision on a transfusion's quantity and duration...
Article
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Background: The coronavirus disease (COVID-19) pandemic and the lockdown imposed due to it have served as a major setback to tuberculosis (TB) control. We therefore conducted this study to assess the profile of TB patients presenting to our department immediately after COVID-19 lockdown, which was imposed in India from 24 March 2020 and continued f...
Article
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Objective To test the hypothesis that greater comfort is achieved using a nebuliser integrated into a high-flow nasal cannula (nebulisation system integrated in high-flow nasal cannula (NHF)) than using a jet nebuliser (JN), and to explore differences in analgesia requirement and the possibility of feeding during nebulisation. Design Randomised cr...
Article
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Background With the advent of COVID-19, many healthcare workers (HWs) in Australia requested access to powered air purifying respirators (PAPR) for improved respiratory protection, comfort and visibility. The urgency of the response at our hospital required rapid deployment of innovative training to ensure the safe use of PAPRs, in particular, a vi...
Article
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A 60-year-old woman was shown to have an ulceration, measuring approximately 20×30mm, and induration in the left mandibular gingiva, during her first medical examination. Based on imaging and histopathology results, the patient was diagnosed with squamous cell carcinoma (cT2N2bM0). We performed left-sided radical neck dissection and left-sided mand...
Article
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Poster session 3, September 23, 2022, 12:30 PM - 1:30 PM Objectives Allergic bronchopulmonary aspergillosis (ABPA) caused by hypersensitivity to A. fumigatus complicates the course of asthma. Fungal sensitization due to A. fumigatus among asthmatic patients and their progression to ABPA is well studied. Similar data on Aspergillus sensitization am...
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Background: Despite growing evidence focusing on health inequalities in older adults, inequalities in medical compensation compared with younger adults and gender disparities of medical errors among older patients have received little attention. This study aimed to disclose the aforementioned inequalities and examine the disparities in medical erro...
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Poster session 2, September 22, 2022, 12:30 PM - 1:30 PM Objectives To discuss the occurrence and diagnosis of dematiaceous fungi as a causative organisms of fungal sinusitis in patients at a tertiary care center in North India. Since there is limited data on its prevalence, this study was aimed to know the non-Aspergillus causes of fungal sinusit...
Article
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Aims. To observe the clinical efficacy of self-made Lifei Dingchuan decoction combined with western medicine in the treatment of cough variant asthma (phlegm-heat accumulation in the lung syndrome). Materials and Methods. The clinical data of 90 patients with cough variant asthma who were hospitalized in the Department of Respiratory Medicine of ou...
Conference Paper
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Background: The tomato flu is a clinical variant of HFMD (hand foot and mouth disease). It is an acute viral illness that is caused by coxsackievirus (A16, A6, B) which belongs to the genus enterovirus (family picornaviridae). [1,2] As of now there are over 100 cases that have been reported in India. The first case was reported in Kerala, now cases...
Article
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jats:p>Cystic fibrosis (CF) is a life-shortening genetic disease, affecting multiple life domains including physical activity (PA). Although higher PA levels are associated with multiple health benefits, little insight exists on the PA level of people with CF (PwCF) compared to healthy peers. Evidence on the influencing factors ( i.e. correlates) o...
Article
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Purpose: Serum electrolyte imbalances are highly prevalent in COVID-19 patients. However, their associations with COVID-19 outcomes are inconsistent, and of unknown prognostic value. We aim to systematically clarify the associations and prognostic accuracy of electrolyte imbalances (sodium, calcium, potassium, magnesium, chloride and phosphate) in...
Article
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Background To reduce the global burden of tobacco use, clinical guidelines support behavioral therapy and pharmacotherapy as preferred interventions for tobacco cessation. The evidence-based behavioral interventions has consistently shown to be impactful in community settings; however, its efficacy has not been established in hospital settings. The...
Article
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Introduction: Isoniazid (H) is one of the most important first-line antituberculosis drugs used for the treatment of active tuberculosis (TB) and latent TB infection (LTBI) with high bactericidal activity and a good safety profile. The emergence of TB strains resistant to isoniazid threatens to reduce the effectiveness of TB treatment. Specific INH...
Article
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Ageing is a natural process accompanied with compromised good health. Pneumonia is associated with several independent risk factors, including the severity of clinical presentation, age, comorbidities, and specific pathogens which increase the burden of morbidity, mortality in aged patients. This study was carried out to assess the appropriateness...
Article
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Introduction: Heart dose has emerged as an independent predictor of overall survival in patients with NSCLC treated with radiotherapy. Several studies have identified the base of the heart as a region of enhanced dose sensitivity and a potential target for cardiac sparing. We present a dosimetric analysis of overall survival in the multicenter, ra...
Article
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Xu-Dong Shen,1 Hua-Sheng Zhang,1 Rui Zhang,1 Jun Li,1 Zhi-Gang Zhou,1 Zhi-Xian Jin,2 Yin-Jia Wang1 1Department of Critical Care Medicine, Calmette Hospital Affiliated to Kunming Medical University, Kunming, 650011, People’s Republic of China; 2Department of Respiratory Medicine, Calmette Hospital Affiliated to Kunming Medical University, Kunming, 6...
Article
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The diaphragm is the primary respiratory muscle, and its dysfunction predisposes patients to respiratory failure. Diaphragm function can be assessed by ultrasound measurement - Diaphragmatic Thickening Fraction (DTF). Respiratory viral infections (including SARS-CoV-2) can cause diaphragm dysfunction. Our case series follows three patients infected...
Article
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Hatsuyo Takaoka,1 Hideki Terai,1 Katsura Emoto,2 Lisa Shigematsu,1 Fumimaro Ito,1 Ayaka Saito,1 Masahiko Okada,1 Keiko Ohgino,1 Shinnosuke Ikemura,3 Hiroyuki Yasuda,1 Ichiro Nakachi,4 Ichiro Kawada,1 Koichi Fukunaga,1 Kenzo Soejima3 1Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan; 2Departmen...